论文部分内容阅读
目的：比较三种垫治疗颞下颌关节紊乱病（TMD）的临床效果。方法：选取我院2014年4月－2015年6月收治的122例接受垫治疗的颞下颌关节紊乱病患者，抽签随机分为3组，其中稳定型垫组40例，松弛型垫组42例，软弹性垫组40例，均持续治疗3个月，观察比较3组治疗的效果。结果：3组治疗有效率依次为85．0％、83.3％、82．5％，相较差异无统计学意义（P＞0．05）；稳定型垫组治疗后VAS（0．9±0．3）分较松弛型垫组（1．3±0．5）分、软弹性垫组（1．2±0．4）分下降更为显著，具有统计学意义（P＜0．05），3组治疗均未出现明显不良反应症状。结论：稳定型垫、松弛型垫和软弹性垫均是临床治疗颞下颌关节紊乱病较为安全有效的方法，但稳定型垫能有效减轻患者疼痛，提高患者治疗的依从性。“,”Objective:To compare the clinical effects of three kinds of occlusal pads in the treatment of temporoman‐dibular disorders (TMD) .Methods:122 patients with TMD treated by occlusal pads in our hospital from April 2014 to June 2015 were selected and were divided into 3 groups by drawing lots ,including 40 cases in the stable occlusal pad group ,42 cases in the loose occlusal pad group and 40 cases in the soft elastic occlusal pad group .The treatment in the three groups lasted for 3 months .The therapeutic effects of the 3 groups were observed and compared .Results:The ef‐fective rates of the three groups were 85 .0% ,83 .3% and 82 .5% ,successively .The differences were not statistically significant (P>0 .05);after the treatment ,the decrease of VAS (0 .9 ± 0 .3) in the stable occlusal pad group was more significant than that in the loose occlusal pad group (1 .3 ± 0 .5) and the soft elastic occlusal pad group (1 .2 ± 0 .4) (P<0 .05) .There were no obvious adverse reactions in the three groups .Conclusion:Stable occlusal pad ,loose occlusal pad and soft elastic occlusal pad are safe and effective methods in the clinical treatment of TMD but the stable occlusal pad can effectively reduce the patient’s pain and improve the compliance of patients .